Reopening Schools Ensuring Staff Safety and Translating Lessons - - PowerPoint PPT Presentation

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Reopening Schools Ensuring Staff Safety and Translating Lessons - - PowerPoint PPT Presentation

Aug 28, 2023 126 likes •291 views

Reopening Schools Ensuring Staff Safety and Translating Lessons from Healthcare Sarita Chung, MD FAAP Director, Disaster Preparedness Division of Emergency Medicine, Boston Childrens Hospital Member, Council on Children and Disasters American

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Reopening Schools

Ensuring Staff Safety and Translating Lessons from Healthcare

Sarita Chung, MD FAAP

Director, Disaster Preparedness Division of Emergency Medicine, Boston Childrens Hospital Member, Council on Children and Disasters American Academy of Pediatrics

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Conflict of Interest Disclosure

  • Co-Director, Disaster Domain, Emergency Medical Services for

Children Innovation and Improvement Center

  • Consultant to Rubius Therapeutics regarding COVID 19

procedures

  • Images used in this presentation were obtained from the public

domain of the internet or are of actual health care staff.

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March 2020

  • Experience with prior
  • utbreaks

– 2009 H1N1 Pandemic – 2014-2016 Ebola

  • Not business as usual
  • Anxiety and fear
  • Lack of data; changing

guidelines

  • Response: nimble and

flexible

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Fundamental Principal

Ensuring Staff Safety

Author: Benjamin Sommers MD PhD July 2020 Author: Benjamin Sommers MD PhD July 2020

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Planning Principles

  • Structure
  • Staff
  • Space
  • Stuff
  • Kaji et al Acad Emerg Med 2006; 13:1157–1159
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Structure: Education

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Hospital Leadership ED COVID Team MD/PA Superusers RN Superusers Site Managers Hospital Leadership:

  • Email updates (data)
  • Weekly Open Town

hall Meetings

  • Leadership huddles

Emergency Department

  • Email updates
  • Twice daily Huddles
  • 24/7 Superuser

presence Tip:

  • Do not send changes
  • ut after 5PM
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Structure: Common Goals Breaking Down Silos

  • Pre-Covid Model
  • COVID Model

– Immersive Care – Coordinated Approach – Flexibility

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Patient care Patient care Healthcare Team

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Structure: Protocols

  • Testing, Cleaning, Infection

Control, etc.

  • Multidisciplinary Approach

(public health, end users)

  • Expect changes; Obtain

feedback for improvement

  • Data transparency
  • Cleaning: indirect contact

(via contaminated environment) can occur but

  • nly approx 6% of

infections*

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*Dave Weber, SHEA Town Hall, July 2020

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Structure: Culture shift to minimize Illness

  • Staff attestation

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  • Staff and Children

attestation

  • Messaging to families

keeping children home when ill

  • Community vigilance
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Structure: Staff Wellness and Mental Health Needs

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  • Integrate Early
  • Zoom parties

(Zumba, Yoga, Gardening, Baking)

  • Informal

Childcare Resource

  • Peer to Peer

Counseling

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Staff-Decontamination Strategies

  • WHO handwashing

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Full Personal Protective Equipment: Some of the time

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Universal Masking Policy: All of the time

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  • Spread within healthcare settings is

uncommon since universal masking was adopted.*

  • Universal masking and eye protection

reduce risk of transmission.*

  • Healthcare providers with COVID 19 are
  • verwhelming related to community

spread.*

  • Masking policy will decrease

transmission of all respiratory viruses

  • Cloths masks have been shown to

reduce exposure to respiratory infections (multiple layers)

*BCH Town hall Meeting 8/2020

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Stuff

  • Supply Chain can be

unpredictable

  • Centralized secure

locations to store PPE

  • Other supplies such as

voice projection may be needed

  • Voice Projection

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Children and COVID 19

  • 15

Month Positivity rate for as asymptomatic patients June-July 2020 0.43%

  • Children
  • Less likely to be

infected

  • Less severe disease

and hospitalizations

  • Implications for school

staff: Transmission higher from other adults than children

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Conclusions

  • #1 Priority is to ensure staff safety

– School staff need to be at the table – Communication and Educational strategies

  • There will never be zero risk (even

with vaccine)

  • Masks are key to reducing

transmission (Children can do it!)

  • Consider eye protection
  • Let’s look at the science together:

Brookline School Public Health, Safety and Logistics Expert Advisory Panel

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